Individual
MS. MARISA FORTI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
840 FARMINGTON DR, CHESHIRE, CT 06410-4216
(860) 604-6068
Mailing address
840 FARMINGTON DR, CHESHIRE, CT 06410-4216
(860) 604-6068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29.006813
CT
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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